A similarity of roles for the scrub person and the circulating nurse is that they both:

Are communications links with personnel outside the room

Set up initial sterile instruments and supplies

Advise the team of breaks in sterile technique

Position lights on step stools

Answer and Explanation

The Correct Answer is A

A. Are communications links with personnel outside the room. Both the scrub person and the circulating nurse serve as communication links with the personnel outside the operating room. The scrub person may communicate regarding sterile equipment needs, while the circulating nurse communicates about patient status and surgical progress.

B. Set up initial sterile instruments and supplies. This is the responsibility of the scrub person, not the circulating nurse. The scrub person ensures that sterile instruments are ready and that the sterile field is set up properly.

C. Advise the team of breaks in sterile technique. Only the scrub person is typically responsible for maintaining sterile technique and calling attention to any breaches in sterility. The circulating nurse may assist with ensuring the environment is safe, but the scrub person is directly in charge of sterile technique.

D. Position lights on step stools. Positioning the lights is the responsibility of the circulating nurse. The scrub person’s role is more focused on the sterile field and assisting with surgical instruments.

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Correct Answer is A

Explanation

A. Spray the surgical area with an antimicrobial solution. Spraying an antimicrobial solution on the surgical area is a common method of skin preparation to reduce the risk of infection during surgery. It is important to follow specific guidelines set by the facility or surgical team.

B. Shave the entire surgical site. Shaving the surgical site is not typically recommended anymore because it can cause micro-abrasions that increase the risk of infection. Hair clipping is preferred if hair removal is necessary.

C. Scrub the surgical area for 1 minute with antibacterial solution. Scrubbing the area with an antibacterial solution may be part of the preparation, but it is typically done by the surgical team or after following specific guidelines for cleaning, not as a general preoperative action.

D. Instruct the patient in the use of an antimicrobial soap in the shower. This is another common preoperative practice, but the nurse's role may be to instruct the patient rather than carry out the preparation directly.

A. 2 to 6 hours. B. 5 to 6 hours. C. 30 to 60 minutes. D. 6 to 8 hours.

Correct Answer is A

Explanation

A. 2 to 6 hours. Patients undergoing same-day surgery are usually monitored in the recovery area (post-anesthesia care unit, or PACU) for about 2 to 6 hours. The exact duration depends on factors such as the type of surgery, anesthesia used, the patient's ability to wake up, pain control, and vital sign stability. Once the patient meets specific discharge criteria, they can be sent home.

B. 5 to 6 hours. This is an overestimate for most same-day surgeries. Most patients will remain in recovery for a much shorter period.

C. 30 to 60 minutes. This is too short for most cases, as patients usually need additional time to stabilize after anesthesia.

D. 6 to 8 hours. This is too long for most same-day surgeries, as patients are generally discharged much sooner after recovery unless there are complications.

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A similarity of roles for the scrub person and the circulating nurse is that they both:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

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